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One such instance in which your immune system can mistakenly do more harm than good occurs when specialized immune cells known as your mast cells begin misbehaving creating a condition known as mast cell activation syndrome

Current approaches to prevent NSAID-induced gastropathy--COX selectivity and beyond

This matters clinically because it tells me that if your records show a pre-bariatric B12 level in the low range, your current level is almost certainly lower still, and your surgical planning needs to account for that

Lower magnesium levels may be associated with a higher risk of osteoporosis, and supplementation may help improve bone density and reduce fracture risk